ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250819*0908*^*00501*000031077*0*P*>~
GS*HS*Gil Messick*Gil Messick*250819*0908*1487113239*X*005010X279A1~
ST*270*000031077*005010X279A1~
BHT*0022*13*000031077*2508231*0908~
HL*1**20*1~
NM1*PR*2*MEDICAID*****PI*2~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*BOSTON*MARY****MI*48701290200~
DMG*D8*19440513*F~
DTP*291*RD8*20250819-20251117~
EQ*42~
EQ*30~
SE*14*000031077~
GE*1*31077~
IEA*1*000031077~

